基于时机理论的居家护理对老年宫颈癌患者出院后自我效能及心理状态的影响  

Effect of Home Care Based on Timing Theory on Self-efficacy and Psychological Status of Elderly Cervical Cancer Patients After Discharge from Hospital

作　　者：江田 Jiang Tian(Oncology and Gynecology Department,Zhumadian Central Hospital,Zhumadian,Henan,463003,China)

机构地区：[1]驻马店市中心医院肿瘤妇科,河南驻马店463003

出　　处：《黑龙江医学》2024年第7期882-884,共3页Heilongjiang Medical Journal

基　　金：河南省医学教育研究项目(Wjlx20204501)。

摘　　要：目的:研究基于时机理论的居家护理对老年宫颈癌患者出院后的影响。方法:选取2021年1月—2022年1月驻马店市中心医院肿瘤妇科收治的186例老年宫颈癌患者作为研究对象,采用随机数表法分为对照组(n=93,实施常规护理干预)和观察组(n=93,实施基于时机理论的居家护理干预)。分别在患者入院时、出院时、出院后3个月采用自我效能感(GSES)预测患者自我效能感;采用健康状况调查量表(SF-36)评价两组患者生活质量,内容涉及生理功能(PF)、生理量表职能(RP)、躯体疼痛(BP)、总体健康(CH)、社会功能(SF)、情感职能(RE)、精神健康(MH)、活力(VT)8项;对比两组患者心理状态,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估患者心理状态。结果:出院时和出院后3个月,观察组患者GSES评分高于对照组,差异有统计学意义(t=10.526、12.785,P<0.05)。干预后,观察组患者SF-36评分显著优于对照组,差异有统计学意义(t=5.755、5.755、5.755、5.755、6.802、6.802、6.802、6.802,P<0.05);观察组患者SAS、SDS评分显著低于对照组,差异有统计学意义(t=11.123、11.700,P<0.05)。结论:基于时机理论的居家护理对老年宫颈癌患者效果较好,能够显著增强其自我效能感,提升生活质量,减轻负性情绪。Objective:To study the impact of home care based on timing theory on elderly cervical cancer patients after discharge from the hospital.Methods:A total of 186 cases of elderly patients with cervical cancer admitted to the hospital from January 2021 to January 2022 were selected for the study,and were divided into the control group(n=93,conventional care model)and the observation group(n=93,home care model based on the timing theory)with the random number table method.Self-efficacy(GSES)was used to predict patients’self-efficacy at the time of admission,at the time of discharge,and 3 months after discharge,respectively.The Health Status Survey Scale(SF-36)was used to evaluate the quality of life in both groups,covering physical functioning(PF),physical functioning(RP),somatic pain(BP),general health(CH),social functioning(SF),emotional functioning(RE),mental health(MH),and vitality(VT).Self-assessment scale of anxiety(SAS)and self-assessment scale of depression(SDS)were used to assess and compare the psychological status of the patients.Results:At the time of discharge and 3 months after discharge,the GSES scores of patients in the observation group were higher than those of the control group,and the difference was statistically significant(t=10.526,12.785,P<0.05).After the intervention,the SF-36 scores of the patients in the observation group were significantly better than those of the control group,and the difference was statistically significant(t=5.755,5.755,5.755,5.755,6.802,6.802,6.802,6.802;P<0.05).The SAS and SDS scores of the patients in the observation group were significantly lower than those of the control group,and the difference was statistically significant(t=11.123,11.700,P<0.05).Conclusion:Home care based on timing theory is more effective for elderly cervical cancer patients,which can significantly enhance their self-efficacy,improve quality of life,and reduce negative emotions.

关 键 词：自我效能感 宫颈癌 居家护理 时机理论 

分 类 号：R47[医药卫生—护理学]